Evidence map›Paper›PMID 28935775›Full record

Trial reportThe oncologist2018

Sarcopenia Is Associated with Quality of Life and Depression in Patients with Advanced Cancer.

Ryan D Nipp, Georg Fuchs, Areej El-Jawahri, Julia Mario, Fabian M Troschel, Joseph A Greer, Emily R Gallagher, Vicki A Jackson, Avinash Kambadakone, Theodore S Hong and 2 more

4 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The oncologist, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 139 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
139citing papers in PubMed, 12 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04948736 nacompletednot on this mapstarted 2022, after this paper: background citation

Effectiveness and Clinical Application of Multidisciplinary Combined Exercise and Nutrition Intervention for Sarcopenic Older Adults With Metabolic Syndrome: Multicenter Randomized Controlled Trial

TypeinterventionalSponsorSeoul National University Bundang HospitalRan2022 to 2025Enrolled168ConditionsSarcopeniaArmsCombined exercise and nutrition intervention, Conventional medial care
NCT06049914 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Combined Exercise and Nutrition Intervention for Possible Sarcopenia Among Community-dwelling Older Adults in Primary Care: A Randomized Controlled Trial

TypeinterventionalSponsorKyunghee University Medical CenterRan2023 to 2024Enrolled94ConditionsSarcopeniaArmsExperimental group
NCT06654648 narecruitingnot on this mapstarted 2022, after this paper: background citation

Combined Exercise and Nutrition Intervention for Sarcopenia in Patients With Hip Fracture: CENTERS; A Multicenter Randomized Controlled Trial

TypeinterventionalSponsorSeoul Bumin HospitalRan2022 to 2024Enrolled118ConditionsSarcopeniaArmsCombined exercise nutrition intervention group, Conventional medial care group
NCT07028294 nacompletednot on this mapstarted 2023, after this paper: background citation

Effectiveness and Clinical Application of Multidisciplinary Combined Exercise and Nutrition Intervention for Sarcopenic Older Adults With Metabolic Syndrome: Multicenter Empirical Study

TypeinterventionalSponsorSeoul National University Bundang HospitalRan2023 to 2025Enrolled80ConditionsSarcopeniaArmsCombined exercise and nutrition intervention
3 · Its place in the literature

Who cites it

139 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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  20. Exercise as a modulator of purinergic signaling and inflammation in cancer-associated sarcopenia: a narrative review.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review

79 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Ryan D NippDepartment of Medicine, Division of Hematology & Oncology, Massachusetts General Hospital Cancer Center & Harvard Medical School, Boston, Massachusetts, USA RNipp@MGH.Harvard.edu.
Georg FuchsDepartment of Radiology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Areej El-JawahriDepartment of Medicine, Division of Hematology & Oncology, Massachusetts General Hospital Cancer Center & Harvard Medical School, Boston, Massachusetts, USA.
Julia MarioDepartment of Radiology, Massachusetts General Hospital & Harvard Medical School, Boston, Massachusetts, USA.
Fabian M TroschelDepartment of Radiology, Massachusetts General Hospital & Harvard Medical School, Boston, Massachusetts, USA.
Joseph A GreerDepartment of Psychiatry, Massachusetts General Hospital & Harvard Medical School, Boston, Massachusetts, USA.
Emily R GallagherDepartment of Medicine, Division of Hematology & Oncology, Massachusetts General Hospital Cancer Center & Harvard Medical School, Boston, Massachusetts, USA.
Vicki A JacksonDepartment of Medicine, Division of Palliative Care, Massachusetts General Hospital & Harvard Medical School, Boston, Massachusetts, USA.
Avinash KambadakoneDepartment of Radiology, Massachusetts General Hospital & Harvard Medical School, Boston, Massachusetts, USA.
Theodore S HongDepartment of Radiation Oncology, Division of Hematology & Oncology, Massachusetts General Hospital Cancer Center & Harvard Medical School, Boston, Massachusetts, USA.
Jennifer S TemelDepartment of Medicine, Division of Hematology & Oncology, Massachusetts General Hospital Cancer Center & Harvard Medical School, Boston, Massachusetts, USA.
Florian J FintelmannDepartment of Radiology, Massachusetts General Hospital & Harvard Medical School, Boston, Massachusetts, USA.

Funding

A Randomized trial of early palliative care for newly diagnosed cancer patientsR01NR012735 · NINR · MASSACHUSETTS GENERAL HOSPITAL · PI TEMEL, JENNIFER SUE · 2011 to 2015
$2.1M
Optimizing Palliative and End of Life Care for Patients with CancerK24CA181253 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI TEMEL, JENNIFER SUE · 2014 to 2018
$737k
NCI NIH HHS K24 CA181253NINR NIH HHS R01 NR012735
6 · The paper itself

Abstract

backgroundPatients with advanced cancer often experience muscle wasting (sarcopenia), yet little is known about the characteristics associated with sarcopenia and the relationship between sarcopenia and patients' quality of life (QOL) and mood. MATERIALS AND

methodsAs part of a randomized trial, we assessed baseline QOL (Functional Assessment of Cancer Therapy-General [FACT-G]) and mood (Hospital Anxiety and Depression Scale [HADS]) in patients within 8 weeks of diagnosis of incurable lung or gastrointestinal cancer, and prior to randomization. Using computed tomography scans collected as part of routine clinical care, we assessed sarcopenia at the level of the third lumbar vertebra with validated sex-specific cutoffs. We used logistic regression to explore characteristics associated with presence of sarcopenia. To examine associations between sarcopenia, QOL and mood, we used linear regression, adjusted for patients' age, sex, marital status, education, and cancer type.

resultsOf 237 participants (mean age = 64.41 ± 10.93 years), the majority were male (54.0%) and married (70.5%) and had lung cancer (56.5%). Over half had sarcopenia (55.3%). Older age (odds ratio [OR] = 1.05,

conclusionSarcopenia was highly prevalent among patients with newly diagnosed, incurable cancer. The associations of sarcopenia with worse QOL and depression symptoms highlight the need to address the issue of sarcopenia early in the course of illness. IMPLICATIONS FOR PRACTICE: This study found that sarcopenia, assessed using computed tomography scans acquired as part of routine clinical care, is highly prevalent in patients with newly diagnosed, incurable cancer. Notably, patients with sarcopenia reported worse quality of life and greater depression symptoms than those without sarcopenia. These findings highlight the importance of addressing muscle loss early in the course of illness among patients with incurable cancer. In the future, investigators should expand upon these findings to develop strategies for assessing and treating sarcopenia while striving to enhance the quality of life and mood outcomes of patients with advanced cancer.

Indexed as

Quality of LifeAgedDepressionFemaleFollow-Up StudiesGastrointestinal NeoplasmsHumansLung NeoplasmsMaleMiddle AgedPalliative CarePrognosisSarcopeniaSurveys and QuestionnairesAdvanced cancerDepressionPalliative careQuality of lifeSarcopenia

Identifiers

PMID28935775
PMCPMC5759817

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.